Context: For most of the patients, dengue is a self-limiting viral fever, but in some patients, it results in a life threatening conditioncalled as dengue hemorrhagic fever or dengue shock syndrome. Objective: We attempted to determine the common and atypicalclinical and laboratory features in children suffering from dengue fever, which will help in early diagnosis and management of patientssuffering from dengue infection. Design: Hospital based descriptive, cross-sectional study conducted from January 2014 to December2014. Setting: Tertiary referral teaching hospital. Patients: All patients between 1-month and 12 years admitted in pediatric ward withsymptoms suggestive of dengue and who turn out to be positive for NS1 antigen alone or NS1 and immunoglobulin M antibody againstdengue were included in the study. Data regarding relevant history and clinical examination and outcome and relevant investigationswere collected. Results: Of 250 children included in the study, 145 (58%) were male and 105 (42%) were female. The most commonpresenting complaint was fever (92.8%), followed by abdominal pain (46.4%). The most common clinical sign was pyrexia followedby relative bradycardia (37.6%) and hypotension (26.4%). On laboratory investigation, the most common abnormality detected wasleucopenia (81.6%) followed by thrombocytopenia (69.2%). Conclusion: A high index of suspicion is required on the part of treatingpediatrician to diagnose dengue early and treat accordingly to prevent mortality due to dengue